CHIEF COMPLAINT: A 74 year old Caucasian male presented with complaint of four and a half months of diffusely “dry and itchy” skin.

CLINICAL HISTORY:

Signs and symptoms: He noted that the skin changes began suddenly; first noticing the dryness on his arms, and within several days noticing that it had become diffuse. He stated that he first noticed the changes two weeks after using a degreasing agent to clean his refrigerator coils and was concerned that the solvent was the source of his xerotic and pruritic skin. Several weeks prior to presenting to our clinic, he sought care at his primary care physicianâ€™s office for the same complaints. His primary care physician diagnosed him with having xerosis.